NPI | 1386072403 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK SALTZMAN President 774-628-9169 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 11199) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2013-10-29 |
Last Update Date | 2024-07-30 |